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South Dakota rates for HCPCS 82140

Ammonia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $94.75 / $167.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $12.97 / $80.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $28.72 / $28.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.96 / $23.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $13.11 / $29.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.80 / $29.69 / $45.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $29.69 / $39.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $34.02 / $40.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $10.19 / $17.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57